Bear Mt Newburyport LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT NEWBURYPORT LLC

Practice address

77 High St
Newburyport, MA 01950-3071

Phone

(860) 880-8202

NPI assigned

Apr 16, 2019

Last updated

Apr 16, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Wynne

Title

Member/Cfo

Phone

(860) 880-8202

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1770146748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-880-8202",
            "fax_number": "860-880-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HIGH ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503071",
            "telephone_number": "860-880-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT NEWBURYPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER/CFO",
        "authorized_official_telephone_number": "860-880-8202"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maquela Chanel Barron, APRN, FNP
• Sally Ann M Basler, RNFA
• Diane Bastable, LMHC
• Jennifer Baum, MS, RD, LDN
• Maria Beane, LMHC
• Stephen Beaudoin, M.D.
• Madison Marie Begin, MS, LAT, ATC
• Behavioral Health Physician Services, LLC
• Alexey Belevich, DO
• Jeffrey M Bentley, M.D.

• Skilled Nursing Facility in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.